The Colorado DR 2395 form serves as an application for vehicle title and registration within the state. This document is essential for individuals and entities seeking to register their vehicles, ensuring compliance with Colorado's motor vehicle laws. Proper completion of the form is crucial, as any alterations may render it void.
The Colorado DR 2395 form is a vital document for anyone looking to register or title a vehicle in the state. This application is managed by the Colorado Department of Revenue's Division of Motor Vehicles and encompasses a range of essential information. It requires details such as the vehicle's identification number (VIN), make, model, year, and color, as well as the fuel type. Applicants must provide their legal names as they appear on identification, along with their physical address. If there are multiple owners, the form allows for the designation of joint tenancy with rights of survivorship or tenancy in common, which impacts how ownership is transferred upon death. Additionally, proof of insurance is mandatory before registration can be issued, underscoring the importance of compliance with state laws. The form also includes sections for lienholders, ensuring that any financial interests in the vehicle are properly recorded. Overall, the DR 2395 is not just a formality; it serves as a comprehensive tool that helps facilitate the legal ownership and registration of vehicles in Colorado.
DR 2395 (03/15/22)
COLORADO DEPARTMENT OF REVENUE
Division of Motor Vehicles
Vehicle Services Section
DMV.Colorado.gov
Application For Title and/or Registration
C.R.S. 42-3-105, 42-3-304(25)(c), 42-6-107, 42-6-116, 42-6-117
Any Alteration or Erasure may Void this Document
Vehicle Identification
Fuel Type
Flex Fuel
If electric, is it
Yes
plug-in electric?
Number (VIN)
No
Year
Make
Body
Model
Color
CWT
Off-Highway Vehicle
Snowmobile
Dealer #
Date Purchased
Commercial Use
MSRP
Size (W x L)
Bus Cap.
Adult
Juvenile
Legal Name(s) as it Appears on Identification*
Lease
Legal Name(s) as it Appears on Identification
and Address of Owner(s) or Entity
Buy-Out
and Physical Address of Lessee
Indicate Alternate Address Here if The Registration Renewal Should be Sent to a Different Address
*
DR 2421 Attached
First Lienholder Name and Address or ELT E- Number
Second Lienholder Name and Address**
Lien Amount
Indicate Alternate Address Here if The Title Should be Sent to a Different Lienholder Address
*DR 2421 Statement of One in the Same is required when the owner’s name on the Secure and Verifiable ID differs from the owner’s name on the ap- plication/title. **If more than two lienholders, please attach separate documentation.
Motor vehicle insurance or operator's coverage is compulsory in the State of Colorado. Proof of insurance is required prior to issuance of a registration. Non-com- pliance with this requirement is a misdemeanor traffic offense. Pursuant to 42-4-1409, C.R.S., the penalties for failure to have motor vehicle insurance coverage is a Class 1 Misdemeanor Traffic Offense punishable by a mandatory minimum ten days imprisonment, or three hundred dollar fine, or both or a mandatory maximum one year imprisonment, or one thousand dollar fine, or both shall be imposed by section 42-4-1701(3)(a)(II)(A), C.R.S.; and
a. A minimum mandatory fine of not less than five hundred dollars or greater if imposed by the court; and
b. At the discretion of the court, not less than forty hours of community service, subject to the provisions of section 18-1.3-507, C.R.S.
c. A second or subsequent conviction within a period of five years following a prior conviction, a minimum mandatory fine of not less than one thousand dollars.
Unless a person waives his or her confidentiality, the information contained in the person’s motor vehicle record shall not be used for any purpose other than a purpose authorized by law, pursuant to C.R.S. 42-2-121 (4)(a).
I certify, under penalty of perjury in the second degree, that the ABOVE information is true and accurate to the best of my knowledge.
Owner or Agent Signature
Date
Printed name of Owner/Agent as it appears on Identification:
Secure and Verifiable ID of Owner/Agent:
Colorado DL
Colorado ID
Other:
ID#
Expires
DOB
Witness Signature Required. The undersigned witness affirms that the named owner of the vehicle identified in this document presented the identification described above.
Witness Printed Name
Witness Signature
County Use Only (Dealers/Lienholders: Do Not Write Below this Line)
Previous Title Number
Title Number
Date Accepted
Purchase Price
Odometer Reading & Indicator
GVWR
Fleet #
Unit #
First Lienholder
#
Second
Lienholder #
Lien File No.
Maturity Date
Date of Lien
Taxes Paid:
Filing Fees:
Additional Comments:
Clerks Initials
Division of Motor VehiclesState Of Colorado Vehicle Services Section
Joint Tenancy with Rights of Survivorship Acknowledgement of Intent
C.R.S. 38-11-101
To create joint tenancy with rights of survivorship, there must be specific language declaring such intent, signed under penalty of perjury in the second degree by all owners. This form is only applicable to multiple owners.
Joint Tenancy with rights of Survivorship is defined as: A form of legal co-ownership of property (also known as survivorship). At the death of one co-owner, the surviving co-owner becomes sole owner of the property. Transfer of ownership requires copy of death certificate and signature of survivor.
Tenancy in Common is defined as: The equal or unequal holding of property by two or more persons. At the death of one co-owner, the deceased share of the property goes to his/her estate and is to be divided according to his/her will or the law in the absence of a will. Transfer of ownership requires documents appointing a personal representative for the decedent.
Vehicle Identification Number
Make.
If any owner chooses Tenancy in Common or if neither box is checked; the Colorado
Certificate of Title will be issued as Tenancy in Common.
I _________________________________ (print name) request the Colorado Certificate of Title for the Vehicle
One
described above be issued in:
Joint Tenancy With Rights of Survivorship
Tenancy in Common
Owner
Per C.R.S. 42-6-116; I certify under penalty of perjury in the second degree that the above information is true and
correct to the best of my knowledge.
Owners Signature
Two
Three
Four
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